Study of Pembrolizumab with Chemotherapy and Hormone Therapy for Early-Stage ER+/HER2- Breast Cancer
Sponsor: Merck Sharp & Dohme LLC
ClinicalTrials ID:NCT03725059
This clinical trial is testing whether adding pembrolizumab to standard chemotherapy and hormone therapy before and after surgery can improve treatment outcomes for patients with early-stage estrogen receptor-positive, HER2-negative breast cancer.
Patient Parameters
| Parameter | Options |
|---|
Program Overview
The study aims to find out if pembrolizumab, when combined with chemotherapy before surgery and hormone therapy after surgery, is more effective than a placebo in treating early-stage estrogen receptor-positive, HER2-negative breast cancer. Researchers are looking at whether this combination can help achieve a complete response, meaning no signs of cancer, and improve event-free survival, which is the time patients live without the cancer returning or worsening.
Description
Participants in this study will receive 8 cycles of chemotherapy combined with either pembrolizumab or a placebo before undergoing surgery for breast cancer. After surgery, they will receive 9 more cycles of the study treatment along with hormone therapy for up to 10 years. Each treatment cycle lasts 21 days.
Eligibility Criteria
Inclusion Criteria
- Have a confirmed diagnosis of localized invasive breast cancer of a certain size and stage.
- Have estrogen receptor-positive, HER2-negative, Grade 3 breast cancer.
- Provide a recent biopsy of the breast tumor for testing.
- Have a good performance status, meaning they are fully active or have some restrictions but can still do light work.
- Agree to use effective contraception during the study and for a specified time after the last treatment dose.
- Have adequate organ function as determined by medical tests.
Exclusion Criteria
- Have a history of lung inflammation requiring steroid treatment or current lung inflammation.
- Have breast cancer with lobular histology or cancer in both breasts.
- Have metastatic breast cancer or multiple tumors in different areas of the breast.
- Have certain advanced stages of lymph node involvement.
- Have breast cancer that is estrogen receptor-negative and progesterone receptor-positive.
- Have had certain types of breast surgery before starting the study treatment.
- Have another invasive cancer that is progressing or required treatment in the last 5 years, except for certain skin or cervical cancers.
- Have an immune deficiency or are on long-term steroid therapy.
- Have an active autoimmune disease requiring treatment in the past 2 years.
- Have a history of active tuberculosis or an active infection needing treatment.
- Have significant heart disease or a low heart function.
- Have a history of HIV, hepatitis B, or active hepatitis C infection.
- Have received prior treatment for breast cancer or certain immune therapies.
- Have received a live vaccine recently.
- Have severe allergies to study medications.
- Are pregnant, breastfeeding, or planning to conceive during the study and for a specified time after treatment.
Locations
| FACILITY | ZIP | CITY | STATE |
|---|---|---|---|
| Southern Cancer Center, PC ( Site 8003) | 36526 | Daphne | Alabama |
| Cancer Treatment Centers of America at Western Regional Medical Center ( Site 0001) | 85338 | Goodyear | Arizona |
| Arizona Oncology Associates PC- HOPE ( Site 8008) | 85704 | Tucson | Arizona |
| Cedars Sinai Medical Center Samuel Oschin Comp. Cancer Institute ( Site 0079) | 90048 | Los Angeles | California |
| El Camino Hospital Cancer Center ( Site 0004) | 94040 | Mountain View | California |
| Stanford Cancer Center ( Site 0072) | 94304 | Palo Alto | California |
| UC Davis Comprehensive Cancer Center ( Site 0073) | 95817 | Sacramento | California |
| University of Colorado, Anschutz Cancer Pavilion ( Site 0008) | 80045 | Aurora | Colorado |
| Baptist MD Anderson Cancer Center ( Site 0014) | 32207 | Jacksonville | Florida |
| Southeastern Regional Medical Center, Inc. ( Site 0075) | 30265 | Newnan | Georgia |
Get This Program In Your Inbox
Receive detailed information about this treatment opportunity to review with your healthcare provider.
